黄石地区学龄前儿童分泌性中耳炎流行病学调查.docVIP

精品论文 参考文献 黄石地区学龄前儿童分泌性中耳炎流行病学调查 洪登日1 李 鹏2★ 潘刚强1通讯作者 黄云霞1 石丽芳1 徐 境3 殷维志★★ 1.湖北省黄石市爱康医院 湖北黄石 435000； 2.★湖北省黄石市黄棉幼儿园 湖北黄石 435000； 3.★★湖北省黄石中心医院 湖北黄石 435000 　　【摘 要】目的：调查黄石地区学龄前儿童分泌性中耳炎发病率情况。方法：研究对象为黄石地区3年共调查了2567名学龄前儿童，耳鼻咽喉科常规体检,电耳镜检查结合声导抗测试。患病率以百分比表示，统计学差异分析采用卡方检验。结果：黄石地区3年共调查了2567名学龄前儿童，分泌性中耳炎患病率为7.32％，男女之间患病率无统计学差异，2岁半～3岁患病率明显高于4岁～6岁，并且随着年龄增长，发病率有降低的趋势。结论：学龄前儿童分泌性中耳炎患病率较高，对于经常有鼻塞、鼻涕、睡眠打鼾，反复咽痛发???，尤其是言语发育迟缓，对父母及老师呼唤不理睬，需大声才有反应的，要警惕分泌性中耳炎[6]，需作常规耳鼻咽喉科体检，且有必要对学龄前儿童进行常规电耳镜和声导抗检查。 　　【关键词】儿童；分泌性中耳炎；电耳镜；声导抗；发病率 　　【中图分类号】R764.21 【文献标识码】B 【文章编号】1674-8999（2015）6-0208-01 　　Epidemiological survey of incidence of otitis media with effusionin preschool children in Huangshi area 　　Hong Deng-ri, Li Peng★,Pan Gang-qiang,Huang yun-xia,Shi Li-fang,Xu Jing,Yin Wei-zhi★★ 　　(Department of Otolaryngology, Huangshi city Ai Kang Hospital, Huangshi city,435000, Hubei Province ,china) 　　Corresponding author:Hong Deng-ri 　　【Abstract】Objective: To investigate the incidence of otitis media with effusion(OME) in preschool children in Huangshi area.Methods: 2567 preschoolers aged from 2.5 to 6 year-old were involved in the study. Electro-otoscopy test and acoustic immittance measurement were performed. Disease incidence was calculated grouped by sex, age and year of investigation. Chi-squared test was used in statistical analysis. Results: Incidence of OME of preschool children in Huangshi area was 7.32% in the present study, without significant statistical difference between male and female. There was a significant higher incidence in children aged 2.5 to 3 year-old than in children aged 4 to 6 year-old. Incidence had a tendency to reduce as the increase of age. Conclusions: There was a high incidence of OME in preschoolers. The possibility of OME should be considered for the children with the symptoms of a stuffy nose, running nose, snoring, repeated pharyngalgia and fever and children with developmental retardation of speech and with ignorance or slow reaction to otherrsquo